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ABUNDANT GRACE WELLNESS, LLC
NPI 1962092114
Nurse Practitioner - Adult Health in Charleston, SC

Active since January 21, 2021
2045 MAYBANK HWY, CHARLESTON, SC 29412(843) 801-0861(843) 768-1473 Get Directions Write a Review

NPPES record last updated: September 14, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Abundant Grace Wellness, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ABUNDANT GRACE WELLNESS, LLC (NPI 1962092114) is a healthcare organization registered as an adult health in Charleston, South Carolina and active in the NPI registry since January 2021. The organization lists Gloria Katherine Wilson, Authorized Official/provider, as its authorized official.

NPPES Registry Identity

NPI1962092114
Entity TypeOrganization
Primary Taxonomy363LA2200X
Legal Business NameABUNDANT GRACE WELLNESS, LLC
Location Address2045 MAYBANK HWYCharleston, SC 29412
Mailing Address2414 Racquet Club DriveJohns Island, SC 29455-6300 · (843) 801-0861 · Fax (843) 768-1473
Phone(843) 801-0861
Fax(843) 768-1473
Organization SubpartNo
Authorized OfficialGloria Katherine WilsonAuthorized Official/provider · (843) 801-0861
Enumeration DateJanuary 21, 2021
Last NPPES UpdateSeptember 14, 2023
NPPES CertifiedJanuary 21, 2021
✔ NPI 1962092114 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
Also ListedNurse Practitioner · Community HealthTaxonomy 363LC1500X
Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X
2045 MAYBANK HWY, Charleston, SC 29412
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Other Identifiers 1

Other18678SC · State License

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of South Carolina.Insurance ›

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. BARBARA SUSAN FOX LISW CP
Social Worker (Clinical)
2045 MAYBANK HWY
CHARLESTON, SC 29412
Charleston County (843) 795-1100
BODY AND SOUL THERAPY LLC
Social Worker
2045 MAYBANK HWY
CHARLESTON, SC 29412
Charleston County (843) 795-1100

Frequently Asked Questions

What is ABUNDANT GRACE WELLNESS, LLC's NPI number?

The NPI number assigned to this healthcare provider is 1962092114, enumerated as an "organization" on January 21, 2021.

Where is the provider located?

The provider is located at 2045 MAYBANK HWY CHARLESTON, SC 29412 and the phone number is (843) 801-0861.

What is the provider's specialty?

Nurse Practitioner with taxonomy code 363LA2200X and a focus in Adult Health.

What insurance does ABUNDANT GRACE WELLNESS, LLC accept?

The provider might be accepting Accepts: BlueCross BlueShield of South Carolina, Medicare. Please consult your insurance carrier or call the provider to verify.